FIND A DOCTOR
New members searching for providers prior to their effective date must be sure to select the correct network for their plan. Members that purchase health insurance for themselves or their family and not through an employer are in the Envision network. Employer group members must select the network chosen by their employer for their plan. Please call us if you are not sure which network you are in.
Serving individual and small business plans
SMALL BUSINESS EMPOWER NETWORK
Serving small business plans only
If you are covered through your employer, check your card to see if you are in the Envision network which includes Aurora, Bellin Health, Thedacare and Children’s Hospital of Wisconsin or the Empower – Trilogy network.
CGHC’s directory lists providers by county within our service area. CGHC has providers in Brown, Calumet, Door, Fond du Lac, Kenosha, Kewaunee, Manitowoc, Marinette, Milwaukee, Oconto, Outagamie, Ozaukee, Racine, Shawano, Sheboygan, Walworth, Washington, Waukesha, and Winnebago counties.
Below are examples of the types of physicians and providers that may be found in our directory. Please remember this list is not all-inclusive and covered services are subject to terms and conditions described in your Certificate of Coverage including medical necessity. Just because a provider is in our network, does not mean we cover all the services that a physician may deliver. Please consult your Certificate of Coverage or call us at 877.514.2442 with questions.
- Primary Care Providers (Family Practice, Internal Medicine, Pediatrics and OB/GYN)
- Behavioral Health Providers (Mental Health and Addiction/Substance Abuse)
- Chiropractic Providers
- Durable Medical Equipment Providers
- Laboratory Providers
- Home Health Providers
- Hospice Providers
- Hospitals, Rehabilitation, Skilled Nursing and, Long Term Acute Care Facilities
- Therapy Providers
- Radiology / Imaging Providers
- Specialty Providers (such as Cardiology, Dermatology, Hematology/Oncology, Gastroenterology, Neurology, Nephrology, Pulmonology, Urology, etc.)
- Vision Providers
At CGHC, we contract with select integrated health systems to offer the Envision network to our members, while the small group Empower network includes both integrated and independent physicians. It is very important to look at the correct directory that applies to your selected coverage plan. You can find the network logo (Aurora/Bellin or Trilogy) on your member ID card.
It is also important we share with you that the criteria we use to select our provider partners is not based upon certain quality measures, member experience measures or cost-related measures, and including a provider in our network directory is not an endorsement. Even so, we frequently measure provider quality and patient satisfaction and share our findings with our provider partners to ensure that your member experience is positive when accessing in-network care. We also consider provider access and availability for the majority of our members residing in our service areas and providers who have agreed to accept reimbursement for services. These partners are periodically evaluated to gauge how they align with our mission to best serve members.
The following links are resources you can use to check and compare quality measures for hospital healthcare providers in your area.
Please know that we make every effort to ensure that our Provider Directories are accurate at the moment of publication. Although CGHC updates the directories on a weekly basis, we may continue to receive daily updates directly from provider groups in the form of rosters or change forms, and we may also receive daily updates over the phone as well. These daily updates will be reflected in the following week’s directory posting. Provider specialty, board certification and accreditation data is verified at least every three years, as part of the credentialing/re-credentialing process. Provider demographic information is updated directly from the rosters received, therefore, no other information gets validated. If providers do not give us current information, this directory could contain errors. That’s why it is important that you contact Member Services (877.514.2442) to verify that your selected provider is participating in your chosen network before making your appointment. Prior to receiving services, we also encourage you to confirm that your selected provider is currently participating in the CGHC network.